Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chanel Gordon, PA-C

Individual provider Medical Physician Assistant · NPI 1760877666

Chanel Gordon, PA-C is a Medical Physician Assistant in Atlanta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6690 Roswell Rd Ste 510
Atlanta, GA 30328-3161
Phone: (678) 884-0090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7898 (GA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 7898 (GA)

Record details

NPI number1760877666
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMarch 30, 2015
Last updated in NPPESSeptember 1, 2025
Certification dateSeptember 1, 2025

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